Tratamento cirúrgico da coarctação de aorta pela aortoplastia trapezoidal

Dinkhuysen, Jarbas J; Almeida, Tarcisio Luiz Valle de; Pinto, Ibraim Masciarelli Francisco; Souza, Luiz Carlos Bento de

doi:10.1590/s0066-782x2004000100002

Cited by 2 publications

(3 citation statements)

References 29 publications

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“…The coarctation of the congenital aorta (CoA) is a disease whose natural history was significantly altered by surgical correction in childhood [1], providing significant improvement in the expectation and quality of life of patients [2]. In addition to congenital coarctation, inflammatory diseases such as Takayasu's arteritis (or reversed coarctation) are important causes of aortic stenosis [3].…”

Section: Introductionmentioning

confidence: 99%

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Correção cirúrgica da coarctação da aorta em adultos sob assistência circulatória extracorpórea esquerda

Ferreira¹,

Nina²,

Assef³

et al. 2012

Rev Bras Cir Cardiovasc

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Objective: To describe our experience with repair of coarctation of the aorta in adults using left heart bypass.Methods: From November 2007 to October 2009, eight adult patients with coarctation of the aorta underwent surgical repair under circulatory support using a left atrium to femoral artery bypass circuit, with graft interposition tube through left posterolateral thoracotomy. Five patients were female, with mean age of 31.5 ± 13.1 years. All patients had hypertension and others associated cardiovascular diseases.Results: There were no deaths or neurological complications. The mean surgical time was 308 minutes with mean left heart bypass and distal aortic clamping time of 73 and 65 minutes respectively. Postoperative bleeding was 696 ml in average. Six patients developed severe hypertension postoperatively requiring intravenous vasodilators. The mean length of stay was 9 days. A significant reduction of gradient blood pressure occurred. Rev Bras Cir Cardiovasc 2012;27(1):97-102

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Section: Introductionmentioning

confidence: 99%

“…In addition to congenital coarctation, inflammatory diseases such as Takayasu's arteritis (or reversed coarctation) are important causes of aortic stenosis [3]. Several surgical techniques have been used, but they have limitations and specific applications [2].…”

Section: Introductionmentioning

confidence: 99%

Correção cirúrgica da coarctação da aorta em adultos sob assistência circulatória extracorpórea esquerda

Ferreira¹,

Nina²,

Assef³

et al. 2012

Rev Bras Cir Cardiovasc

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“…Several surgical techniques related to the correction of thoracic aortic coarctation in both its simple and aortic complex forms (Aortic hypoplasia, atresia or luminal interruption of Aortic Arch) have been published internationally [1][2][3][4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

<![CDATA[<B>Pediculated autologous vascularized pericardial flap aortoplasty for correction of simple aortic coarctation or associated with hypoplasia, atresia or interruption of aortic arch</B>]]>

Silva¹

2006

Braz. j. cardiovasc. surg.

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Retalho de pericárdio pediculado vascularizado autógeno para aortoplastia e correção da coarctação simples de aorta torácica, ou associada à hipoplasia, atresia ou interrupção do arco aórticoPediculated autologous vascularized pericardial flap aortoplasty for correction of simple aortic coarctation or associated with hypoplasia, atresia or interruption of aortic arch Abstract Objective: Eighteen years ago, two young male patients of 8 months and 13 years with aortic coarctation associated to aortic hypoplasia between the left subclavian artery and the coarctated area, were submitted to surgical correction using a new world-pioneering surgical technique developed in our service.Method: This technique consists of sectioning the patent ductus arteriosus, followed by resection of all the coarctated tissue in the aortic wall and aortoplasty correction by means of the lengthwise implantation of a pediculated autogenous pericardial flap. This flap is inserted into the thoracic aorta, from the root of the left subclavian artery to 2.0 cm below the coarctated area.Results: For both patients, the blood pressure and arterial pulses of both arms and legs have been normal since the surgery until the present moment. Clinical examination and Doppler evaluation evidenced no pressure gradient between arms and legs, normal blood flow and no pressure gradient through the coarctated area. Both patients were submitted to other evaluations 18 years after surgery, including cardiac and thoracic aortic catheterization followed by aortography. These evaluations demonstrated normal aortic configuration, with normal diameter, including the areas above and below the coarctated site. There was no evidence of any kind of degenerative lesions of the vascularized pericardial flap or re-coarctation of the lesion and no signs of aneurysms forming or the presence of atherosclerosis of the flap. Moreover, and very importantly, it was evident that the pediculated completely vascularized autologous pericardial flap had been kept alive and had grown in diameter as well as in length.Conclusion: The surgical technique using a pediculated vascularized autologous pericardial flap is the most complete and adequate for the correction of the different types of simple or complex forms of thoracic aortic coarctation in all age groups, including newborn babies when compared to all the existing techniques. Descriptors: Aortography. Aorta, surgery.RODRIGUES DA SILVA, P -Pediculated autologous vascularized pericardial flap aortoplasty for correction of simple aortic coarctation or associated with hypoplasia, atresia or interruption of aortic arch Braz J Cardiovasc Surg 2006; 21(4): 453-460

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Tratamento cirúrgico da coarctação de aorta pela aortoplastia trapezoidal

Cited by 2 publications

References 29 publications

Correção cirúrgica da coarctação da aorta em adultos sob assistência circulatória extracorpórea esquerda

Correção cirúrgica da coarctação da aorta em adultos sob assistência circulatória extracorpórea esquerda

<![CDATA[<B>Pediculated autologous vascularized pericardial flap aortoplasty for correction of simple aortic coarctation or associated with hypoplasia, atresia or interruption of aortic arch</B>]]>

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